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[老年康复。住院、日间住院及门诊]

[Geriatric rehabilitation. Inpatient, day patient and outpatient].

作者信息

Swoboda W, Sieber C C

机构信息

Institut für Biomedizin des Alterns, Friedrich-Alexander-Universität Erlangen-Nürnbergund Klinikum Nürnberg, Nürnberg, Deutschland.

出版信息

Internist (Berl). 2010 Oct;51(10):1254-61. doi: 10.1007/s00108-010-2628-z.

Abstract

Geriatric rehabilitation is a cornerstone of every treatment plan in elderly persons in the inpatient, day clinic and outpatient settings. Geriatric patients tend to be more in need of care and to have a loss of domestic independence due to multimorbidities. The goal of geriatric rehabilitation is to preserve and/or restore the disease-related functional deficits in order to guarantee mobility and activities of daily living (ADL) in addition to curative treatment. Structural prerequisites in all geriatric units are the comprehensive geriatric assessment (CGA) and the existence of an interdisciplinary geriatric team. Geriatric rehabilitative treatment is based on functionality (ICF) and is therefore indicated in a wide spectrum of diseases. The demographic shift necessitates an increase in geriatric treatment structures with innovative concepts such as geronto-traumatological interdisciplinary units or geriatric outpatient office groups with a better networking of different care structures.

摘要

老年康复是住院、日间门诊和门诊环境中老年人每项治疗计划的基石。老年患者往往更需要护理,并且由于多种疾病而失去家庭独立能力。老年康复的目标是在进行治疗的同时,保存和/或恢复与疾病相关的功能缺陷,以确保行动能力和日常生活活动(ADL)。所有老年科室的结构前提是全面老年评估(CGA)和跨学科老年团队的存在。老年康复治疗基于功能(ICF),因此适用于广泛的疾病。人口结构的变化需要增加老年治疗结构,采用创新概念,如老年创伤跨学科科室或老年门诊办公室组,实现不同护理结构更好的联网。

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